| NPI | 1568708709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002348) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00009827) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |